MONTANA CREEK ASSISTED LIVING HOME – NPI #1255867263
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

Health Care Provider Taxonomy Code for Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

MONTANA CREEK ASSISTED LIVING HOME is a community based residential treatment facility located in TALKEETNA, AK. NPPES has assigned the NPI number 1255867263 to MONTANA CREEK ASSISTED LIVING HOME on May 11, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 320900000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MONTANA CREEK ASSISTED LIVING HOME below.

NPI Profile for
MONTANA CREEK ASSISTED LIVING HOME

NPI Number
1255867263
Enumeration Date

(more than 9 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MONTANA CREEK ASSISTED LIVING HOME
Primary location
19205 E FUTURE RD
TALKEETNA, AK 99676
Phone: (907) 354-3441 Fax:
Mailing address
PO BOX 735
WILLOW, AK 99688-0735
Phone: (907) 354-3441 Fax:
Organization Subpart
No
Authorized Official
TINA MCCLUSKEY
ADMINISTRATOR
Phone: (907) 354-3441
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320900000X
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Primary)		 AK 100437

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.